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South Dakota rates for HCPCS 26455

Tenotomy Flexor Finger Open Each Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.54 / $482.54 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.75 / $749.97 / $1,030.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.15 / $1,089.00 / $1,969.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.49 / $676.67 / $907.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00